Deck 10: Nursing Considerations for the Child in the Community

Question 1

An adolescent client has a long leg cast secondary to a fractured femur. Which action by the nurse would effectively facilitate the adolescent's return to school?
1) Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair accessible.
2) Develop an individualized health plan (IHP) that focuses on long-term needs of the adolescent.
3) Prior to the student's return to school, meet with all of the other students to emphasize the special needs of the injured teen.
4) Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.

Answer 1

1

Question 2

A young school-age client who has had a tracheostomy for several years is scheduled to begin school in the fall. The teacher is concerned about this child's being in her class and consults the school nurse. Which action by the nurse is the most appropriate?
1) Make arrangements for the child to go to a special school.
2) Ask the parents of the child to provide a caregiver during school hours.
3) Recommend that the child be home schooled.
4) Teach the teacher how to care for the child in the classroom.

Answer 2

4

Question 3

The nurse is providing care for several pediatric clients. Which client would require an Individualized Health Plan (IHP) prior to returning to school?
1) A school-age client who has recently developed a penicillin allergy
2) An adolescent client newly diagnosed with insulin-dependent diabetes mellitus
3) A school-age client who has been treated for head lice
4) An adolescent client who has missed two weeks of school due to mononucleosis

Answer 3

2

Question 4

The nurse is providing care to a school-age client and family. The family, which consists of two parents and 4 children, live in a one-bedroom apartment. The father recently lost his job and the mother stays at home with the children. Which community resources would most benefit this family? Select all that apply.
1) Play groups
2) Parenting programs
3) Social services programs
4) Job skills training
5) Respite care

Question 5

Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS providers are prepared to provide emergency care to children?
1) Placement of small stretchers in emergency vehicles
2) Lists of hospitals in the area that treat children
3) Staff education related to assessment and treatment of children of all ages
4) Pediatric-sized equipment and supplies

Question 6

What must a home-health nurse realize prior to accepting an assignment?
1) All decisions will be made by the healthcare provider.
2) The family will adapt their lifestyle to the needs of the nurse.
3) Independent decisions regarding emergency care of the child will be made by the nurse.
4) The family is in charge.

Question 7

The school nurse is preparing a plan of care specific to several children in the school who have asthma. What is the initial action on the plan of care?
1) Call 911 to request emergency medical assistance.
2) Call the child's parents to come and pick up the child.
3) Have the child use his or her metered-dose inhaler.
4) Have the child lie down to see if the symptoms subside.

Question 8

The school nurse plans, develops, manages, and evaluates healthcare services to all children while they are in the educational setting. With which healthcare providers will the nurse be collaborating? Select all that apply.
1) School physician
2) Teachers
3) Cafeteria staff
4) Primary physician
5) Bus driver

Question 9

A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home-health nurse discusses development of an emergency plan of care with the family. Which is the most essential part of the plan?
1) Acquisition of a backup generator
2) Designation of an emergency shelter site
3) Provision for an alternate heating source if power is lost
4) Notifying the power company that the child is on life support

Question 10

A 2-month-old infant with bronchopulmonary dysplasia (BPD) is being prepared for discharge from the neonatal intensive-care unit (NICU). The infant will continue to receive oxygen via nasal cannula at home. Prior to discharge, the home-health nurse assesses the home. Which finding poses the greatest risk to this infant?
1) Small toys strewn on the floor
2) A woodstove used for heating
3) A sibling who has an ear infection
4) Paint peeling on the walls

Question 11

The number of serious injuries in children has doubled in the past year. Based on this information, which is the most appropriate community nursing diagnosis?
1) Noncompliance Related to Inappropriate Use of Child Safety Seats
2) Risk for Injury Related to Inadequate Use of Bicycle Helmets
3) Altered Family Processes Related to Hospitalization of an Injured Child
4) Knowledge Deficit Related to Injury Prevention in Children

Question 12

The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. Which action by the nurse is the most appropriate?
1) Obtain the history of the illness from the parent.
2) Advise the parent to hang up and call 9-1-1
3) Make an appointment for the child to see the healthcare provider.
4) Reassure the parent and provide instructions on home care for the child.

Question 13

The community-health nurse is planning an education session for recently hired teachers at a child-care center. Which item is priority for the community-health nurse to include in the educational session?
1) The schedule for immunizations
2) Principles of infection control
3) How to interpret healthcare records
4) How to take a temperature

Question 14

The nurse manager is assisting the organization to open a healthcare center. What items must the manager include in pediatric inventory? Select all that apply.
1) Preprinted drug dosage chart
2) Oxygen face masks
3) Pediatric chairs and litters
4) Length-based resuscitation tape
5) Oral and NG airways and laryngoscope blades

Question 15

Which would be an acceptable community-health diagnosis?
1) Risk for Injury Related to Lack of Safe Bicycle Paths in High-Traffic Areas
2) Ineffective Family Coping Related to Lack of Time Together
3) Alterations in Nutrition Related to Use of Fast Food Restaurants
4) Ineffective Communication Related to Lack of Community Newsletter

Question 16

The community-health nurse visits the child-care center. Which finding indicates the need for staff education?
1) A group of 2-year-olds are eating a snack of Cheerios.
2) Several 4-year-olds are outside playing on a slide.
3) An 18-month-old is pushing a toy truck.
4) A 2-month-old is sleeping in a crib on his stomach.

Question 17

Some nursing students are discussing job options. One of the student states that a position as a school nurse sounds interesting. What is an important role of the school nurse?
1) Screening for congenital heart disease
2) Prescribing antibiotics for streptococcal pharyngitis
3) Developing a plan for emergency care of injured children
4) Diagnosing an ear infection